View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Bundled Sub-studies #20, #21 and #22 Website Usability Testing
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 CPCC #20 Screener CPCC_#20_Attach2 Recruitment Screener.docx Yes No Printable Only
Form and Instruction 2 CPCC #20 Facilitator's Guide CPCC_#20_Attach5 Facilitator's Guide Final.doc Yes No Printable Only
Form and Instruction 3 DCPDIV #21 Screener DCP Div_#21_Attach2 Recruitment Screener.docx Yes No Printable Only
Form and Instruction 4 DCPDIV #21 Facilitator's Guide DCP Div_#21_Attach3 Facilitator's Guide.doc Yes No Printable Only
Form and Instruction 5 DCP NSRG Screener DCP NSRG_#22_Attach2 Recruitment Screener.docx Yes No Printable Only
Form and Instruction 6 DCP NSRG Facilitator's Guide DCP NSRG_#22_Attach3 Facilitator's Guide.doc Yes No Printable Only

Health Consumer Health and Safety

SORN #09-25-0156, "Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD"   67 FR 60743

132 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 132 0 0 0 0 0
Annual IC Time Burden (Hours) 72 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CPCC_Fast-Track_Request #20 CPCC_Fast-Track_Request #20.doc 01/10/2013
Memo to OMB_Key To Fast Track Bundle_#20-22 Memo to OMB_Key To Fast Track Bundle_#20-22.doc 01/10/2013
CPCC_#20_Attach1 Email for Participant Request CPCC_#20_Attach1 Email for Participant Request .docx 01/10/2013
CPCC_#20_Attach3 Remote Consent Script CPCC_#20_Attach3 Remote Consent Script.doc 01/10/2013
CPCC_#20_Attach4 In-lab Consent Form CPCC_#20_Attach4 In-lab Consent Form.doc 01/10/2013
DCP Div Fast-Track_Request #21 DCP Div Fast-Track_Request #21.doc 01/10/2013
DCP Div_#21_Attach1 Recruit E-mail DCP Div_#21_Attach1 Recruit E-mail.docx 01/10/2013
DCP Div_#21_Attach4 Informed Consent Form DCP Div_#21_Attach4 Informed Consent Form.docx 01/10/2013
DCP Div_#21_Attach5 Script Verbal Consent DCP Div_#21_Attach5 Script Verbal Consent.docx 01/10/2013
DCP NSRG Fast-Track Request #22 DCP NSRG Fast-Track Request #22.doc 01/10/2013
DCP NSRG_#22_Attach1 Recruit E-mail DCP NSRG_#22_Attach1 Recruit E-mail.docx 01/10/2013
DCP NSRG_#22_Attach4 Informed Consent Form DCP NSRG_#22_Attach4 Informed Consent Form.docx 01/10/2013
DCP NSRG_#22_Attach5 Script for Verbal Informed Consent for Remote Participants DCP NSRG_#22_Attach5 Script for Verbal Informed Consent for Remote Participants.docx 01/10/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.